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Lisa Marie Antonio, MD
Family Medicine Physician in Sitka, Alaska
NPI 1679951438

Lisa Marie Antonio is a Family Medicine Physician based in Juneau, AK. Lisa Marie Antonio practices in Sitka, AK and has the professional credentials of MD. The NPI Number for Lisa Marie Antonio is 1679951438 and holds a License No. MED-RES-LIC 52169 (Alaska).

The current practice location address for Lisa Marie Antonio is 222 Tongass Dr, Sitka, AK and can be reached out via phone at 907-966-8318 and via fax at 907-966-8606.

Location: 222 Tongass Dr, Sitka, AK, 99801-7837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679951438
Provider Name
Lisa Marie Antonio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
222 Tongass Dr, Sitka, AK, 99801-7837
Phone Number
907-966-8318
Fax Number
907-966-8606
Provider Enumeration Date
05/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134059 01 AK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
222 Tongass Dr
City
Sitka
State
Alaska
Zip
99835
Phone Number
907-966-8318
Fax Number
907-966-8606
person
Provider Business Mailing Address Details
Address
222 Tongass Dr
City
Sitka
State
Alaska
Zip
99835
Phone Number
907-966-8318
Fax Number
907-966-8606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
134059 (Alaska)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MED-RES-LIC 52169 (Montana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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